Navigating the Clinical Component
Your Daily Clinical Environment
You practice in a modern cancer center built for efficiency and continuity. Patients are scheduled in 30 minute follow ups and 60 minute new consults, giving you space to think, teach, and build trusted relationships. You see a predictable 10 to 12 patients per day Monday through Thursday, with a half day on Friday set aside for coordination, peer review preparation, and work with the medical oncology team.
Your clinical work centers on the most common rural oncology needs. Breast, lung, prostate, colorectal, and GYN cancers make up the majority of cases. The medical oncology team manages more than 900 active patients and 75 active chemotherapy patients at any time, and they value your input on treatment planning. You collaborate daily with a medical oncologist who enjoys exchanging ideas and reviewing plans. This partnership becomes the clinical backbone of the cancer center.
Technology and Clinical Infrastructure
- New Varian TrueBeam arriving, enabling SRS and SBRT
- ARIA build in progress with the downtime team
- Fully staffed infusion center with 10 private bays
- Onsite pharmacy and highly engaged nursing staff
- Full time physicist trained at University of Chicago and credentialed through MD Anderson
- Remote dosimetry with daily involvement and active case review
Patient Mix and Case Types
- Majority breast, lung, prostate, colorectal, and GYN cases
- Consistent volume with opportunity for growth through outreach
- Rare inpatient consults, typically fewer than two per year
- No call, no weekends, and no after hours patient management
- Consults from general surgery, OBGYN, urology, orthopedics, GI, and emergency medicine
- Seamless collaboration with medical oncology for pre op or diagnostic hematology findings
Clinical Workflow
- Monday to Thursday: follow ups, on treatment visits, new consults, and genetic testing reviews
- Friday: administrative half day for care coordination and multidisciplinary alignment
- Tumor Board: monthly, covering all relevant specialties and complex cases
- Peer review requirements built into Apex accreditation readiness
Regional Collaboration
- Frequent communication with Billings Clinic and St Vincent radiation oncologists
- Shared patients with MD Anderson, Mayo, Sloan Kettering, Huntsman, and Salt Lake
- Support available from mentors or peers if a new graduate joins
- Strong pathology support with timely and accurate reporting
Your clinical environment balances independence with support, and complex cases with time to plan them well. You work with a team that values precision, evidence based care, and the shared goal of building a strong presence for oncology throughout northern Wyoming.